Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Beacon Specialized Living Minnesota, Inc. (NPI 1528174349)

Field	Value
Entity Type	Organization
Organization	Beacon Specialized Living Minnesota, Inc.
Address	1355 Mendota Heights Road
City	Mendota Heights
State	MN
ZIP	55120
Taxonomy	Assisted Living Facility
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicaid	$76.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid lifetime revenue is $76.1M, indicating operations are overwhelmingly Medicaid-funded rather than split between Medicare and Medicaid. Analysts should treat BEACON SPECIALIZED LIVING MINNESOTA, INC. as a Medicaid‑focused operator when assessing payer exposure and contracting leverage.

Revenue is highly concentrated in a small number of Medicaid codes: the top 3 Medicaid codes by revenue account for 84.4% of this provider's total Medicaid revenue. The largest single contributor is S5140 with $48.3M (63.5% of Medicaid revenue), followed by T2016 with $9.2M (12.1%) and S5145 with $6.7M (8.8%), so changes to reimbursement or utilization for these codes would materially affect total revenue.

The code mix aligns with long‑term residential and foster care operations: S5140 (Foster care, adult; per diem) dominance and T2016 (Habilitation, residential, waiver; per diem) support a business model centered on per‑diem residential placements and waiver habilitation services. S5145 (Foster care, therapeutic, child; per diem) further indicates the provider bills for therapeutic foster care placements for youth, consistent with an assisted living/residential habilitation service line.

Competitive standing is mixed across codes: for the largest code S5140 the provider ranks #24 of 59 in‑state (60th percentile), which is a typical, unremarkable statewide position for that volume. S5145 ranks #2 of 4 (67th percentile) among a very small set of in‑state providers, suggesting the provider is a meaningful participant in therapeutic foster care within a narrow market segment, while T2016 ranks #24 of 34 (30th percentile) indicating modest in‑state activity for residential habilitation waiver services.

Two waiver and crisis codes are clear outliers in volume: T2034 (Crisis intervention, waiver; per diem) reports 109K claims and $4.6M revenue (6.0% of Medicaid revenue) and ranks #1 of 13 providers in‑state (100th percentile) with labeling of notably above typical state volume. Similarly, T2017 (Habilitation, residential, waiver; 15 minutes) reports 29.3K claims and $2.5M revenue (3.3%) and also ranks #1 of 16 providers (100th percentile), indicating this provider runs unusually large crisis and 15‑minute residential habilitation programs relative to peers.

Skills training and activity therapy are material and relatively high compared with peers: H2014 (Skills training and development, per 15 minutes) has 25.6K claims and $2.2M revenue (3.0%) and ranks #38 of 185 (80th percentile), while H2032 (Activity therapy, per 15 minutes) has 15.9K claims and $1.5M revenue (2.0%) and ranks #8 of 69 (90th percentile). These percentiles suggest established programmatic offerings in skills development and activity therapy beyond basic room‑and‑board services.

Claim count and unit‑rate profile point to time‑based service intensity: many of the high‑volume codes are billed per diem or per 15 minutes (e.g., T2017 avg paid/claim $86, H2014 avg paid/claim $88, H2032 avg paid/claim $96), which indicates revenue is driven by sustained service hours and daily placements rather than few high‑priced events. This pattern supports an operational model that relies on staffing and recurring direct care time.

The provider has long tenure in the Medicare/Medicaid system, with NPI enumeration on 2006-08-22 (~20 years ago), which combined with $76.1M of Medicaid revenue suggests an established, Medicaid‑centric organization with scale in residential and waiver service lines. Tenure plus concentrated code exposure should guide risk assessment for contract negotiation, network planning, and program oversight.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	98,160	$490	$48.3M
T2016	Habilitation, residential, waiver; per diem	24,500	$380	$9.2M
S5145	Foster care, therapeutic, child; per diem	12,880	$520	$6.7M
T2034	Crisis intervention, waiver; per diem	108,970	$40	$4.6M
T2017	Habilitation, residential, waiver; 15 minutes	29,300	$90	$2.5M
H2014	Skills training and development, per 15 minutes	25,560	$90	$2.2M
H2032	Activity therapy, per 15 minutes	15,940	$100	$1.5M
S5125	Attendant care services; per 15 minutes	7,060	$90	$628.7K
H0045	Respite care services, not in the home, per diem	1,350	$230	$306.4K
S5110	Home care training, family; per 15 minutes	1,270	$70	$89.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Beacon Specialized Living Minnesota, Inc. — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	24	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	24	30	84,870	$240	$23.9M
S5125	Attendant care services; per 15 minutes	14	30	7,060	$130	$5.2M
S5145	Foster care, therapeutic, child; per diem	2	10	8,640	$400	$3.3M
T2034	Crisis intervention, waiver; per diem	1	10	12,570	$80	$2.8M
H2014	Skills training and development, per 15 minutes	38	190	6,230	$120	$2.2M
H2032	Activity therapy, per 15 minutes	8	70	3,950	$120	$1M
S5110	Home care training, family; per 15 minutes	3	10	1,270	$140	$977.9K
T2017	Habilitation, residential, waiver; 15 minutes	1	20	6,790	$100	$879.8K
H0045	Respite care services, not in the home, per diem	4	10	1,620	$270	$609.5K

Nearby Providers

Other providers in the same ZIP code as Beacon Specialized Living Minnesota, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dungarvin Minnesota LLC	MN	Community/Behavioral Health Agency	$0	$66.3M
Ellie Family Services, Pllp	MN	Community/Behavioral Health Agency	$0	$34.4M
Riyo International Corporation	MN	Adolescent and Children Mental Health Clinic/Center	$0	$7.7M
Residential Transitions Incorporated	MN	Community/Behavioral Health Agency	$0	$7.3M
Coram Alternate Site Services Inc	MN	Home Infusion Therapy Pharmacy	$66.5K	$4.5M
Katherine Piehl	MN	Nurse Practitioner	$668.3K	$0
Walgreen Co	MN	Pharmacy	$130.2K	$0

Beacon Specialized Living Minnesota, Inc. — Billing Profile & Reimbursement Data

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Beacon Specialized Living Minnesota, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References